Provider Demographics
NPI:1083020937
Name:GERIATRIC CONSULTANTS AND CARE MANAGERS
Entity Type:Organization
Organization Name:GERIATRIC CONSULTANTS AND CARE MANAGERS
Other - Org Name:CIRCLE OF FRIENDS ADULT DAY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:SLOTTER
Authorized Official - Last Name:RHOADS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:217-359-7937
Mailing Address - Street 1:609 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61820-3332
Mailing Address - Country:US
Mailing Address - Phone:217-359-7937
Mailing Address - Fax:217-359-3884
Practice Address - Street 1:609 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61820-3332
Practice Address - Country:US
Practice Address - Phone:217-359-7937
Practice Address - Fax:217-359-3884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care